Organization
SLC PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C REUBEN MD (SOLE OWNER)
(801) 647-5522
Entity
Organization
Contact information
Practice address
6686 HIGHLAND DRIVE, COTTONWOOD HEIGHTS, UT 84121
(801) 647-5522
Mailing address
7001 S 900 E STE 100, MIDVALE, UT 84047-1700
(801) 647-5522
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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